| Entity Name: | REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 06 Apr 1956 |
| Company Number: | CORP_35992944 |
| File Number: | 35992944 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R4GCRJW1NM45 | 2025-01-30 | 18601 NORTH CREEK DR, TINLEY PARK, IL, 60477, 6397, USA | 18601 NORTH CREEK DRIVE, TINLEY PARK, IL, 60477, 6398, USA | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | PROVIDENCE LIFE SERVICES |
| Congressional District | 01 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-02-02 |
| Initial Registration Date | 2012-01-13 |
| Entity Start Date | 1956-04-06 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LARRY OTTE |
| Role | VP OF FINANCE |
| Address | 18601 NORTH CREEK DRIVE, TINLEY PARK, IL, 60477, 6247, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LARRY OTTE |
| Role | VP OF FINANCE |
| Address | 18601 NORTH CREEK DRIVE, TINLEY PARK, IL, 60477, 6398, USA |
| Title | ALTERNATE POC |
| Name | BARRY VANDERGENUGTEN |
| Address | 18601 NORTH CREEK DRIVE, TINLEY PARK, IL, 60477, 6247, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAM DE YOUNG, 18670 GRAPHICS DRIVE, STE 106, TINLEY PARK, 60477, WILL | Agent | 2024-12-03 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| PROVIDENCE SOLUTIONS | NFP Assume Name | 2018-08-27 | No data | No data | No data |
| VICTORIAN VILLAGE CAMPUS CARE | NFP Assume Name | 2018-06-18 | No data | No data | No data |
| PARK PLACE CAMPUS CARE | NFP Assume Name | 2018-06-18 | No data | No data | No data |
| VILLAGE WOODS CAMPUS CARE | NFP Assume Name | 2018-06-18 | No data | No data | No data |
| VICTORIAN VILLAGE HEALTH AND WELLNESS CENTER | NFP Assume Name | 2013-08-27 | No data | No data | No data |
| PROVIDENCE HOME HEALTH AND HOSPICE CARE | NFP Assume Name | 2013-08-27 | No data | No data | No data |
| VICTORIAN VILLAGE RETIREMENT AND ASSISTED LIVING | NFP Assume Name | 2013-08-27 | No data | No data | No data |
| PROVIDENCE RESEARCH AND EDUCATION INSTITUTE | NFP Assume Name | 2013-08-27 | No data | No data | No data |
| PROVIDENCE HEALTH AND WELLNESS CENTER AT VICTORIAN VILLAGE | NFP Assume Name | 2012-12-18 | No data | No data | No data |
| PROVIDENCE HEALTH AND WELLNESS CENTER | NFP Assume Name | 2012-12-18 | No data | No data | No data |
Date of last update: 16 Jan 2025
